【持续性肾脏替代治疗CRRT英文ppt课件】Acute Renal Failure (129p).ppt

;;;;;Shortcomings;Diagnostic criteria; Syndromes of acute renal failure;;;NATURE CLINICAL PRACTICE NEPHROLOGY (2006) 2,364-377;Non -ICU;Key Points ;;;OF PRERENAL ARF;Diagnosis of Prerenal ARF;;FE Urea;  Significance of the fractional excretion of urea in thedifferential diagnosis of acute renal failure ;;FE UREA;;;;;;;;;;;;Clinical manifestations;;Diagnosis;Treatment;;Intrinsic ;Urine output?;Pathophysiology ;;Complete obstruction;Partial obstruction;;Diagnosis;Diagnosis;Diagnosis;Intrinsic ARF;Etiology of Intrinsic ARF;Acute tubular necrosis;Systemic diseases;ATN;;Nephrotoxic ATN;Clinical course;; Recovery from Ischemic Injury;;Short-term Outcomes;Long-term Outcomes;Radiocontratst Nephropathy;;ARF:increase in serum creat of50 % above baseline or 1 mg/dl if baseline2 mg/dl;Pathogenesis;;Treatment;Treatment;Treatment;Treatment;Treatment;;;; Heme pigment-induced acute tubular necrosis ;Rhabdomyolysis;The majority of cases of rhabdomyolysis are nontraumatic;Hemolysis;Laboratory abnormalities;;Treatment;Treatment;Acute Interstitial Nephritis;Drug hypersensitivity;Others;Methicillin induced AIN;Other kinetics;;Eosinophiluria;Eosinophiluria;Renal biopsy;Supportive Dicontinue offending drug Prednisone 1mg/kg/d for 4 weeks Controversial Rcommended if biopsy proven AIN and who have persistent renal failure 1 week after DC the offending medication ?adjunct cyclophosphamide ;Hepatorenal syndrome;Diagnostic criteria;Treatment ;;;Prevention ;Pharmacologic Treatment of Acute Renal Failure;Indications for RRT;Timing of initiation of RRT ;;;;Learning objectives;THANK YOU